Individual provider Active NPI

Lisa Podlesny, R.N.

  • Community Health Registered Nurse
  • Berlin, MD
National Provider Identifier
1518281153
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
R168158 Issued in MD
Practice address
9730 Healthway Drive
Worcester County Health Department - Berlin Health CT.
Berlin, MD 21811
Phone
(410) 629-0164
Fax
(410) 629-0185
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R168158 MD Primary

Addresses

Primary practice location

9730 Healthway Drive
Worcester County Health Department - Berlin Health CT.
Berlin, MD 21811

Mailing address

509 Sunlight LN Unit 6
Berlin, MD 21811-1482
Phone (410) 594-8242

Other identifiers 1

IdentifierTypeStateIssuer
705371101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R168158MDMDCommunity Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1518281153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUNLIGHT LN UNIT 6",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111482",
            "telephone_number": "410-594-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 HEALTHWAY DRIVE",
            "address_2": "WORCESTER COUNTY HEALTH DEPARTMENT - BERLIN HEALTH CT.",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-629-0164",
            "fax_number": "410-629-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODLESNY",
        "first_name": "LISA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R168158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705371101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.